Laliberte Shari, Varcoe Colleen
School of Health Sciences, Vancouver Community College, 1155 East Broadway, Vancouver, BC, Canada V5T 4V5.
School of Nursing, University of British Columbia, T153 2211, Westbrook Mall, Vancouver, B.C. Canada V6T 2B5.
Health Promot Int. 2021 Mar 12;36(1):250-261. doi: 10.1093/heapro/daz073.
Understanding how socio-economic processes inter-relate with young people's mental health is important to inform the development of responsive mental health promotion initiatives. Thirty diverse Canadian young people were engaged within a process of social praxis, underpinned by a historical-dialectical ontological perspective, to explore the inter-relation among socio-economic processes and youth mental health and implications for mental health promotion initiatives. Findings show several inter-related contradictory processes within two overarching contradictory dynamics that Canadian youth are navigating as they seek to realize their mental health needs. The first overarching contradictory dynamic is between monetized, private, individualistic, profit-oriented economic processes and young people's need for resources, freedom and time, and inclusive social spaces to enable their mental health needs. Participants' descriptions of their approaches to seeking to realize their mental health needs in this context reflects a second inter-related overarching contradiction between communal and individual approaches to enabling young people's mental health needs. In this context, young people are oriented inward to meet their mental health needs at the individual and inter-personal level, despite the crucial role of socio-economic processes to enabling their mental health needs. Despite varied access to resources, all participants struggled to balance meeting their mental health needs. Implications of these findings entail the need to focus on promoting synergistic relations among young people and socio-economic processes whereby enabling universal access to resources for young people's survival, physical health and comfort is foundational to multi-level mental health promotion initiatives.
了解社会经济进程如何与年轻人的心理健康相互关联，对于推动制定针对性强的心理健康促进举措至关重要。30名来自加拿大不同背景的年轻人参与了一个社会实践过程，该过程以历史辩证本体论为视角，旨在探究社会经济进程与青少年心理健康之间的相互关系以及对心理健康促进举措的影响。研究结果表明，在加拿大年轻人寻求满足其心理健康需求的过程中，他们正应对着两种总体矛盾动态中的几个相互关联的矛盾过程。第一个总体矛盾动态存在于货币化、私人化、个人主义、以利润为导向的经济进程与年轻人对资源、自由和时间以及包容性社会空间的需求之间，这些资源、自由和时间以及社会空间是满足他们心理健康需求所必需的。参与者对他们在这种背景下寻求满足心理健康需求方式的描述，反映了在满足年轻人心理健康需求的集体和个人方式之间的第二个相互关联的总体矛盾。在这种背景下，尽管社会经济进程对满足他们的心理健康需求起着关键作用，但年轻人还是倾向于在个人和人际层面内向地满足自己的心理健康需求。尽管获取资源的机会各不相同，但所有参与者都在努力平衡满足自己的心理健康需求。这些研究结果意味着需要关注促进年轻人与社会经济进程之间的协同关系，即让年轻人普遍能够获取用于生存、身体健康和舒适的资源，这是多层次心理健康促进举措的基础。
